<HTML>
<HEAD>
<TITLE>YACGI Simple Test Fill-Out Form</TITLE>
</HEAD>
<BODY BGCOLOR="#ffffff">
<H1>YACGI Simple Test Fill-Out Form</H1>

<FORM METHOD="GET" ACTION="http://balrog/cgi-bin/yacsampl">
<PRE><B><FONT SIZE=4>Name</FONT></B>
<UL>First <INPUT SIZE=51 NAME="First_Name">
Last  <INPUT SIZE=51 NAME="Last_Name"><P></PRE></ul>
<P>
<B>Date of Birth</B> <I>Day/Month/Year</I> <INPUT SIZE=8 NAME="D_O_B"><P>
<B>Sex</B>
<input type=radio name=Sex value="M">Male.
<input type=radio name=Sex value="F">Female.<P>

<B>What is the highest level of education you achieved?</B>
<UL><SELECT NAME="Degree">
<option>No Bachelors Degree
<option>BA/Undergraduate Degree
<option>Masters Degree or higher
</SELECT><p></UL>

<B>Skills</B><BR><UL>
<input type=checkbox name=Skills
value = "Oracle DBAs and Programmer">Oracle DBA and Programmer<BR>
<input type=checkbox name=Skills
value = "Informix and Sybase DBA">Informix and Sybase DBA<BR>
<input type=checkbox name=Skills
value = "HTML/JAVA/Web Developers">HTML/JAVA/Web Developer<BR>
<input type=checkbox name=Skills
value = "Client-Server Architect">Client-Server Architect<BR>
<input type=checkbox name=Skills
value = "C++ Programmer">C++ Programmer<BR>
<input type=checkbox name=Skills
value = "C/UNIX Programmer">C/UNIX Programmer<BR>
<P></UL>

<B>Present Occupation</B> <BR><UL>
Job Title <INPUT SIZE=50 NAME="Occupation"><BR>
Job Duties <ul><textarea name="Duties" rows=4 cols=47></textarea>
<BR>
<P></UL>
<H3>YACGI Anvanced Features: String, Integer, Real, Safe String</H3>
String <INPUT SIZE=51 NAME="String"><BR>
Integer <INPUT SIZE=10 NAME="Integer"><BR>
Real <INPUT SIZE=10 NAME="Real"><BR>
Safe String without shell metacharacters<BR>
<INPUT SIZE=51 NAME="SafeString"><P> 


<CENTER><INPUT TYPE="submit" VALUE=" SUBMIT Form ">
<INPUT TYPE="reset" VALUE=" CLEAR Form "></CENTER>
</FORM>
</BODY>
</HTML>

